scholarly journals A Bony Mallet Thumb with Interposition of the Nail Plate

2021 ◽  
Vol 07 (01) ◽  
pp. e18-e21
Author(s):  
Ahmadreza Afshar ◽  
Ali Tabrizi ◽  
Hassan Taleb
Keyword(s):  
Surgical Treatment ◽  
Nail Plate ◽  
Distal Phalanx ◽  
Clinical Suspicion ◽  
Flexion Deformity ◽  
Articular Fracture ◽  
Left Thumb ◽  
Nail Deformity ◽  
Bony Avulsion ◽  
Joint Incongruity

AbstractThumb extensor injuries and bony avulsion in the distal phalanx of the thumb are rare compared with other fingers. The most reported complications are infection, nail deformity, joint incongruity, implant failure, recurrent flexion deformity, and residual pain. This report presents a case of 30-year-old man suffering from an injury in the left thumb distal phalanx with a displaced comminuted intra-articular fracture of the distal phalanx of the left thumb. The nail plate was interposed between the dorsal and palmar fragments. The interposition of the nail plate in the bony mallet thumb has not been described before. Surgical treatment and fixation with a 2-mm miniscrew resulted in successful treatment. Clinical suspicion of this complication is of great importance and can affect treatment outcomes.

Reconstruction of the Great Toe Ski-Slope, Sunken-Nail Deformity with a Buried Adipofascial Flap

2004 ◽  
Vol 94 (6) ◽  
pp. 578-582
Author(s):  
Thomas S. Roukis ◽  
Adam S. Landsman
Keyword(s):  
Nail Plate ◽  
Surgical Excision ◽  
Distal Phalanx ◽  
Great Toe ◽  
Nail Bed ◽  
Adipofascial Flap ◽  
Nail Deformity ◽  
Complete Surgical Excision ◽  
Surgical Options ◽  
Normal Architecture

Development of a ski-slope deformity following loss of the great toe nail plate is a problematic condition with few conservative or surgical options available. The condition becomes more difficult to treat when the distal, medial, and lateral labial nail folds are hypertrophied, creating the appearance of a sunken nail. We present a case of ski-slope, sunken-nail deformity following multiple attempts at chemical nail matrixectomy. The patient’s persistent pain and deformity were managed through 1) nail plate avulsion and complete surgical excision of the germinal nail matrix, 2) remodeling of the distal phalanx, and 3) elevation of an adipofascial flap from the plantar tuft of the great toe, which was brought from plantar to dorsal and interposed between the dorsal aspect of the distal phalanx and the overlying nail bed in buried fashion. The combination of these procedures elevated the nail bed, which restored normal architecture to the great toe and relieved the pain associated with the chronic deformity. This case demonstrates a potential complication of a commonly performed procedure and a salvage technique useful for dealing with the resultant ski-slope, sunken-nail deformity (J Am Podiatr Med Assoc 94(6): 578–582, 2004)

Postburn Nailfold Retraction: A Reconstructive Technique

1986 ◽  
Vol 11 (3) ◽  
pp. 385-387
Author(s):  
R. C. K. NGIM ◽  
K. SOIN
Keyword(s):  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Transposition Flap ◽  
Left Thumb ◽  
Nail Deformity ◽  
Distal Interphalangeal ◽  
Joint Flexion ◽  
Reconstructive Technique

Postburn nailfold retraction often results in nail deformity and loss of distal interphalangeal joint flexion. A technique of reconstruction of the nailfold using a proximally based transposition flap is described in a patient with postburn nailfold retraction of the left thumb, index and middle fingers.

Surgical treatment of osseous cyst-like lesions in the distal phalanx arising from collateral ligament insertional injury

2010 ◽  
Vol 17 (4) ◽  
pp. 195-200 ◽  
Author(s):  
M. R. W. Smith ◽  
O. C. Crowe ◽  
C. Ellson ◽  
S. J. Turner ◽  
J. C. Patterson-Kane ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Distal Phalanx ◽  
Collateral Ligament

Bilateral Optic Canal Meningiomas

Neurosurgery ◽  
1978 ◽  
Vol 3 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Jonathan D. Trobe ◽  
Joel S. Glaser ◽  
Judith D. Post ◽  
Larry K. Page
Keyword(s):  
Surgical Treatment ◽  
Visual Loss ◽  
Correct Diagnosis ◽  
Clinical Suspicion ◽  
Optic Canal ◽  
The Future ◽  
Planum Sphenoidale ◽  
Radiological Studies

Abstract In the case presented, bilateral optic canal meningiomas produced binocular visual loss. Correct diagnosis was delayed because of inadequate and misinterpreted radiological studies. Careful radiological and surgical examination of the planum sphenoidale later suggested this as the source of both canalicular masses. The pertinent aspects of this case are reviewed in relation to information from similar cases reported previously. In the future, increased clinical suspicion and more accurate neuroradiological studies should improve the detection and afford earlier surgical treatment of meningiomas of the optic canal.

A Proposal for Determining a Diagnostic Cutoff Value of a New Ultrasonographic Index of Retronychia Inversely Correlating with Disease Severity

2020 ◽  
Vol 110 (4) ◽  
Author(s):  
Fatih Göktay ◽  
Levent Soydan ◽  
Emre Kaynak ◽  
Nebahat Demet Akpolat ◽  
Eckart Haneke
Keyword(s):  
Disease Severity ◽  
Pearson Correlation ◽  
Nail Plate ◽  
Specific Treatment ◽  
Inverse Correlation ◽  
Distal Phalanx ◽  
Clinical Severity ◽  
Patient Specific ◽  
Cutoff Value ◽  
The Mean

Background Ultrasonography has demonstrated a shortening of the distance between the origin of the nail plate and the base of the distal phalanx in retronychia. The aim of this study was to analyze the clinical and ultrasonographic features of retronychia. Methods We evaluated the clinical findings in 18 patients with retronychia, along with the ratio of ultrasonographic distance a, extending between the nail plate origin and the base of the distal phalanx, to distance b, perpendicular to distance a, extending between the nail plate origin and the upper margin of the distal phalanx. Results Retronychia was present in 26 nails. The mean ± SD distance a was 7.66 ± 1.64 mm and distance b was 3.56 ± 1.95 mm. The mean ± SD a/b ratio was 2.59 ± 1.11. There was a significant inverse correlation between a/b ratio and clinical severity (Pearson correlation = –0.668; P < .001). The cutoff value of this ratio was 3.319, with specificity of 90% and sensitivity of 69%. Conclusions The ratio of distance a/distance b and the cutoff value of this ratio may help in making the diagnosis, in objectively determining the disease severity, and in selecting a patient-specific treatment approach.

Low-Field MR Imaging (0.1 T) in Patients with Clinically Suspected Acute Spinal Block

1995 ◽  
Vol 36 (1) ◽  
pp. 15-18 ◽  
Author(s):  
U. Heldmann ◽  
H. S. Thomsen ◽  
T. Mygind
Keyword(s):  
Surgical Treatment ◽  
Mr Imaging ◽  
Clinical Findings ◽  
Clinical Impact ◽  
Clinical Suspicion ◽  
Spinal Block ◽  
True Positive ◽  
Therapeutic Consequence ◽  
Low Field ◽  
Diagnostic Usefulness

The diagnostic usefulness of a 0.1 T MR unit in patients with clinical suspicion of acute spinal block was studied in 59 patients who were referred to acute MR investigation. The records were reviewed retrospectively 1 month after the MR for assessing the clinical impact of the examination. Ninety-eight per cent had a true-positive examination confirmed by surgery (21%) or observation (77%). In 60% of the patients the MR imaging had a therapeutic consequence. In only one patient did the level of visualised pathology at the MR examination not correlate with the clinical findings; the patient subsequently refused surgical treatment. We conclude that a low-field MR unit is excellent for acute examination of patients clinically suspected of acute spinal block.

scholarly journals Pincer Nail Deformity: Clinical Characteristics, Causes, and Managements

2020 ◽  
Vol 2020 ◽  
pp. 1-15
Author(s):  
Chao Huang ◽  
Rui Huang ◽  
Min Yu ◽  
Wenlai Guo ◽  
Ying Zhao ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Nail Plate ◽  
Clinical Manifestations ◽  
Evidence Based ◽  
Clinical Classification ◽  
Treatment Progress ◽  
Plate Deformation ◽  
Nail Deformity ◽  
Appropriate Treatment ◽  
Selection Of

A pincer nail is a common nail deformity of toenails and is characterized by nail thickening and nail plate deformation. It often causes severe pain for patients. We perform a thorough literature review and an additional review of pertinent clinical cases, aiming to provide a comprehensive review of the etiology, pathogenesis, clinical classification, differential diagnosis, and treatment of pincer nail deformity (PND). Understanding the clinical characteristics and treatment progress of a pincer nail will provide clinicians with comprehensive and evidence-based information about PND, thus allowing the selection of an appropriate treatment according to the patient’s request and the clinical manifestations of PND, which should maximize patient satisfaction.

Surgical Treatment for Unstable Intra-articular Fracture of Distal Radius

1995 ◽  
Vol 30 (4) ◽  
pp. 1033
Author(s):  
Sung Keun Sohn ◽  
Seong Soo Kim ◽  
Jung Yoon Lee ◽  
Sung Wan Kim
Keyword(s):  
Surgical Treatment ◽  
Distal Radius ◽  
Articular Fracture ◽  
Fracture Of Distal Radius
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